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General NPI Number Information
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NPI Number | 1407376304
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Entity Type | Individual
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Provider Name | CHRISTEN A HYDE-TREUHAFT NP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1526 EDGEMONT ST. ICD CLINIC, 2ND FLOOR CARDIOLOGY
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-783-8861
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Fax | 323-783-0122
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Provider Business Mailing Address
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Address Line | 1526 N EDGEMONT ST FL 7
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City | LOS ANGELES
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State | CA
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Zip | 90027-5260
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Country | US
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Telephone | 323-783-8861
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Fax | 323-783-0122
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 383589
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License Number State | CA
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